Cavallaro Antonio, Sterpetti Antonio V, Dimarzo Luca
IsitutoI Clinica Chirurgica, Pietro Valdoni, Università di Roma La Sapienza, Roma, Italia.
J Surg Res. 2012 Aug;176(2):684-6. doi: 10.1016/j.jss.2011.10.019. Epub 2011 Nov 12.
In selected patients, eversion endarterectomy of the proximal superficial femoral artery can represent a valid inflow for a distal bypass to avoid a "hostile" groin.
Patency rates and limb salvage rates were retrospectively analysed for 21 consecutive patients who underwent distal bypass for severe lower limb ischemia and in whom the proximal superficial femoral artery was reopened with an eversion endarterectomy. In all patients, this technique was used to avoid a hostile groin.
Five-year cumulative patency rates were 53% for femoropopliteal bypasses and 40% for femorotibial bypasses. Overall 5-y cumulative limb salvage was 72%.
In case of hostile groin, eversion endarterectomy of the proximal superficial femoral artery is a valid solution to provide inflow for a distal bypass.
对于部分患者，股浅动脉近端外翻式内膜切除术可作为远端旁路移植术的有效流入道，以避免“不良”腹股沟区。
对连续21例行远端旁路移植术治疗严重下肢缺血且股浅动脉近端通过外翻式内膜切除术重新开通的患者的通畅率和肢体挽救率进行回顾性分析。所有患者均采用该技术以避免不良腹股沟区。
股腘动脉旁路移植术的5年累积通畅率为53%，股胫动脉旁路移植术为40%。总体5年累积肢体挽救率为72%。
在存在不良腹股沟区的情况下，股浅动脉近端外翻式内膜切除术是为远端旁路移植术提供流入道的有效解决方案。
